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everett <br />� <br />City of Everett <br />Sewer Applict�tion and Permit <br />rvo. 2�913 DATE xtobor 29, 19IIfS <br />Service Address 40I9 tioyt Ava. Utility Account No._ <br />Billing Address 11525 19th I�ve. SE Permit Fee Z•5 <br />City, State, Zip �erett, NA 98205 Connection Charge(s�_ <br />Owner (Mortgagor� weaver Dnvelopnent Total Fee �. <br />Billing Name same <br />Connection Py �� <br />Address same <br />Phone 337-1056 <br />�ESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />Block <br />IMPORTANT! <br />CALL 1-800-024-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Signed <br />Customer <br />Sewer <br />Monthly Sewer <br />Monthly Sewer Constr. <br />1!1,'�5,%D£1 M1:?.;'FH �:0.hltllf3l."'9 kii;:k <br />;k�All];_'l l l� <br />Lateral f� �;�CH X;.SCi <br />i`Oikl:'r.'.y) ; <br />Abutting Lot Line��'�' `='•��U <br />N S, E W!.l�Fi.l; �:,.U1i ft. <br />Approved By ALF'RED R. TrIEAL � <br />City Engineer '. <br />Issued By Suav linuacn_ <br />Inspection <br />Date i <br />I i�! ;P GC-TI GfJ <br />No. 26�13 <br />